Intervention of Ayurvedic drug Tinospora cordifolia attenuates the metabolic alterations in hypertriglyceridemia: a pilo
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RESEARCH ARTICLE
Intervention of Ayurvedic drug Tinospora cordifolia attenuates the metabolic alterations in hypertriglyceridemia: a pilot clinical trial Amey Shirolkar 1 & Aarti Yadav 2 & T. K. Mandal 1 & Rajesh Dabur 1,2 Received: 28 April 2020 / Accepted: 7 October 2020 # Springer Nature Switzerland AG 2020
Abstract Purpose Hypertriglyceridemia (HG) is an independent risk factor with more prevalence than hypercholesterolemia and its attributes to cardiovascular disease (CVD) and pancreatitis. Hence, it becomes imperative to search for new triglyceride (TG) lowering agents. Tinospora cordifolia (TC) is a well-known Ayurvedic drug and a rich source of protoberberine alkaloids hence can contribute to TG lowering without side effects. Hence, to explore the therapeutic efficacy of T. cordifolia and its effects on biochemistry and metabolome in the patients of hyper-triglyceridemia, clinical trials were conducted. Methods Patients (n = 24) with hypertriglyceridemia were randomized into two groups to receive T. cordifolia extract (TCE) (3.0 g/per day) and metformin (850 mg/day) for 14 days having >300 mg/dl triglyceride level and cholesterol in the range of 130– 230 mg/dl. Lipid profiles of blood samples were analyzed. Urine samples were subjected to HPLC-QTOF-MS to quantify oxidative damage and abnormal metabolic regulation. Results Intervention with TCE reduced the triglyceride, LDL, and VLDL levels to 380.45 ± 17.44, 133.25 ± 3.18, and 31.85 ± 5.88 mg/dL and increased the HDL to 47.50 ± 9.05 mg/dL significantly (p < 0.05) in the HG patients after 14 days treatment. TCE dosage potently suppressed the inflammatory and oxidative stress marker’s i.e. levels of isoprostanes significantly (p < 0.01). Qualitative metabolomics approach i.e. PCA and PLS-DA showed significant alterations (p < 0.05) in the levels of 40 metabolites in the urine samples from different groups. Conclusion TCE administration depleted the levels of markers of HG i.e. VLDL, TG, and LDL significantly. Metabolomics studies established that the anti-HG activity of TCE was due to its antioxidative potential and modulation of the biopterin, butanoate, amino acid, and vitamin metabolism. Clinical trials registry India (CTRI) registration no. CTRI- 2016-08-007187. Keywords Tinospora cordifolia . Hyperlipidemia . Hyper-triglyceridemia . Metabolomics . HPLC-QTOF-MS
Introduction Tinospora cordifolia (Wild.) Miers ex Hook. f. & Thoms., a climber shrub of Menispermaceae family is being widely used as a drug in Ayurveda, a 5000-year-old traditional medicinal Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40200-020-00657-3) contains supplementary material, which is available to authorized users. * Rajesh Dabur [email protected] 1
Department of Biochemistry, National Research Institute of Basic Ayurvedic Sciences (NRIBAS), Kothrud, Pune, Maharashtra 411038, India
2
Clinical Biochemistry Laboratory, Department of Biochemistry, Maharishi Dayanand University, Rohtak, Haryana 124001, India
system of India [1].
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